TORCH infections are typically acquired in first or second trimester. Most infants have IUGR.
TORCH infections
Toxoplasmosis
Other (syphilis, varicella, HIV, and parvovirus B19)
Rubella
Cytomegalovirus (CMV)
Herpes
Many of the findings of the TORCH infections are very similar, so note the most likely presentations:
Toxoplasmosis: hydrocephalus with generalized calcifications and chorioretinitis
Rubella: the classic findings of cataracts, deafness, and heart defects
CMV: microcephaly with periventricular calcifications; petechiae with thrombocytopenia
Herpes: skin vesicles, keratoconjunctivitis, acute meningoencephalitis
Syphilis: osteochondritis and periostitis; skin rash involving palms and soles and is desquamating; snuffles (mucopurulent rhinitis)